PEDIATRIC URGENT CARE PC NPI 1255745881

NPI Information

NPI: 1255745881
Provider Name: PEDIATRIC URGENT CARE PC
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 10D2083732

Address:
625 W BALDWIN RD STE B
PANAMA CITY, FL
ZIP 32405
Phone: (850) 596-0476
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PEDIATRIC URGENT CARE PC is an urgent care clinic center in Panama City, FL. PEDIATRIC URGENT CARE PC NPI is 1255745881. The provider is registered as an organization entity type.

The provider's business location address is:

625 W BALDWIN RD STE B
PANAMA CITY, FL
ZIP 32405-359
Phone: (850) 596-0476
Fax: (850) 763-4988

The provider's authorized official is Ahmed Baker Mohamed .
The authorized official title is Medical Doctor and has the following contact phone number (850) 596-0476.

The CLIA number assigned to this NPI record is 10D2083732 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/11/2014 and was last updated on 6/11/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QU0200X	Clinic/Center	Urgent Care	ME92242	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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